目的分析影响输卵管积水患者腹腔镜术后妊娠率的相关因素。方法回顾性分析300例行腹腔镜手术治疗的输卵管积水患者的临床资料,术后随访1年,记录患者自然妊娠率,分析影响术后妊娠的相关因素。结果300例输卵管积水患者腹腔镜术后的自然妊娠率为34.00%(102/300)。单因素分析显示,不同年龄段、盆腔输卵管病变程度、不孕年限、盆腹腔手术史的输卵管积水患者腹腔镜术后自然妊娠率比较,差异均有统计学意义(均P<0.05)。结论年龄≤30岁、轻中度输卵管病变程度、不孕年限≤5年、无盆腹腔手术史的输卵管积水患者之腹腔镜术后自然妊娠率较高。
ObjectiveTo analyze the related factors influencing pregnancy rate after laparoscopic surgery in the patients with hydrosalpinx. MethodsThe clinical data of 300 patients with hydrosalpinx treated by laparoscopy were retrospectively analyzed. One-year follow-up was performed, then the natural pregnancy rate of the patients was recorded, and the related factors affecting postoperative pregnancy were analyzed. ResultsThe natural pregnancy rate was 34.00% (102/300) in the 300 patients with hydrosalpinx after laparoscopic surgery. Univariate analysis showed that there was significant difference in the natural pregnancy rate after laparoscopic surgery among the hydrosalpinx patients with different ages, with different severity of pelvic tubal lesions, with different infertility duration or with different histories of pelvic and abdominal surgeries (all P<0.05). ConclusionNatural pregnancy rate is higher in the hydrosalpinx patients aged ≤30 years, with mild or moderate pelvic tubal lesions, with infertility duration ≤5 years or without histories of pelvic and abdominal surgeries.